title: Gonococcemia mimicking a lupus flare in a young woman.
abstract: Gonorrhea is a common sexually transmitted infection, which can present as the 'arthritis-dermatitis syndrome'. Patients with systemic lupus erythematosus often develop disseminated neisserial infections, because of inherited and acquired complement deficiencies. Neisserial infection, and particularly gonococcemia, can mimic a lupus flare. We report one case of gonococcemia presenting as acral papulo-vesiculous lesions of the digits in a young woman with lupus.
authors.affiliation: 1Department of Internal Medicine, Centre Hospitalier Lyon Sud, Pierre Benite, France.
authors.forename: M
authors.initials: M
authors.lastname: Dutertre
authors.forename: D
authors.initials: D
authors.lastname: Tomasevic
authors.forename: Y
authors.initials: Y
authors.lastname: Guillermin
authors.forename: S
authors.initials: S
authors.lastname: Durupt
authors.forename: C
authors.initials: C
authors.lastname: Grange
authors.forename: S
authors.initials: S
authors.lastname: Debarbieux
authors.forename: E
authors.initials: E
authors.lastname: Martin
authors.forename: I
authors.initials: I
authors.lastname: Durieu
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000175:diagnosis* / Q000382:microbiology; D003937:Diagnosis, Differential; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification
keywords: Systemic lupus erythematosus; arthritis-dermatitis syndrome; gonococcemia